Parents

HIP Wants to Hear from YOU!

Help us improve HIP Packs with your anonymous and confidential feedback.
We want to thank you and your family for being a part of the Healthy HIP Packs Program. We would love to learn
more about your family and what your child(ren) like and don’t like about the program. It is our hope to make this
the best program for your family and your child. Please be honest and turn in this brief questionnaire to your
child’s school’s front office when you are done.
Thank you very much for your help!

Any Surveys Returned Will be Entered in a $25 Gift Card

Raffle
1. How is the HIP Pack food used in your house?
 My child eats most of it
 The food is shared amongst the family
 We don’t use much of it
 Other: ____________________________

2. If you could choose what’s in your HIP pack, which would you prefer to have:
 Mainly items that are ready-to-eat  Mainly items to cook or prepare at home
(Soup, Granola bars, Applesauce etc.) (rice,
lentils, beans, spices, pasta etc.)

3. If you don’t eat some items from your HIP pack, why?

 Other reason:
_________________
_________________
_________________
_________________
 Nobody at  I don’t have time  I don’t have the  I don’t  Produce is not _________________
home likes it. to cook or appliances to prepare know how to good quality. _________________
prepare it. it. (oven, cook it. ________________
microwave…)

4. How can we better serve your child and family?

*Please return to the ____________by June 7th*

(206)-538-6567 www.hungerintervention.org